new york ehb benchmark plan - cms · conditions leading to infertility . covered services include:...
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NEW YORK EHB BENCHMARK PLAN
SUMMARY INFORMATION
Plan Type Plan from largest small group product, Exclusive Provider Organization
Issuer Name Oxford Health Insurance, Inc. Product Name EPO
Plan Name Oxford EPO
Supplemented Categories (Supplementary Plan Type)
• Pediatric Oral (State CHIP)• Pediatric Vision (State CHIP)
Habilitative Services Included Benchmark (Yes/No)
No
Habilitative Services Defined by State (Yes/No)
Yes: New York will set habilitative services at modified parity with rehabilitative services. The intent is to set the habilitative benefit at parity with the rehabilitative benefit in the outpatient setting only. Further, in New York’s Base Benchmark Plan, the rehabilitative services benefit is covered only if the services are provided on a post-hospitalization or post-surgical basis. By setting habilitative services at parity with rehabilitative services, New York will require the same types of services and the same number of covered days for both benefits, but New York does not consider the post-hospitalization and post-surgical requirements for rehabilitative services to be requirements for habilitative services.
New York—1
BENEFITS AND LIMITS
Benefit Information General Information A
Benefit B
EHB C
Benefit Description (may be the same as
the Benefit name)
D Is the
Benefit Covered?
E Quantitative
Limit on Service?
F Limit
Quantity
G Limit Unit
and/or Description
H Minimum
Stay
I Exclusions
J Explanations
K Additional
Limitations or Restrictions?
Primary Care Visit to Treat an Injury or Illness
Yes Primary care for treatment of illness or injury
Covered No No
Specialist Visit Yes Physician (Specialist) Office and Home visits
Covered No No
Other Practitioner Office Visit (Nurse, Physician Assistant)
Yes Certified Nurse Midwife or any duly licensed health professional under contract with us to provide covered services to our members
Covered No No
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Yes Outpatient Hospital & Ambulatory Surgical Center
Covered No No
Outpatient Surgery Physician/Surgical Services
Yes Outpatient Hospital & Ambulatory Surgical Center
Covered No No
Hospice Services Yes Hospice Services & Home Hospice
Covered Yes 210 Days per year Benefit limited is combined IP & OP. No
Non-Emergency Care When Traveling Outside the U.S.
Not Covered
Routine Dental Services (Adult)
Not Covered
Infertility Treatment
Yes Infertility Services Basic & Comprehensive
Covered No Advanced Infertility is not covered. Excludes IVF, GIFT & ZIFT.
Infertility Treatments include Correctable Medical Conditions Leading to Infertility. Covered services include: initial evaluation, evaluation of ovulatory function, postcoital test, hysterosalpingogram, treatment of ovulatory dysfunction, ovulation induction and monitoring with ultrasound, artificial insemination, hysteroscopy, laparoscopy and laparotomy. Member must be between ages of 21 and 44
No
Long-Term/Custodial Nursing Home Care
Not Covered
Private-Duty Nursing
Not Covered
New York—2
New York—3
Benefit Information General Information A
Benefit B
EHB C
Benefit Description (may be the same as
the Benefit name)
D Is the
Benefit Covered?
E Quantitative
Limit on Service?
F Limit
Quantity
G Limit Unit
and/or Description
H Minimum
Stay
I Exclusions
J Explanations
K Additional
Limitations or Restrictions?
Routine Eye Exam (Adult)
Not Covered Available as optional buy up for groups to purchase. $50 reimbursement per exam. Limited to one per year.
Urgent Care Centers or Facilities
Yes Urgent Care Facility Services
Covered No No
Home Health Care Services
Yes Home Healthcare Covered Yes 40 Visits per year No
Emergency Room Services
Yes Emergency Room Services
Covered No No
Emergency Transportation/ Ambulance
Yes Ambulance Services Covered No No
Inpatient Hospital Services (e.g., Hospital Stay)
Yes Inpatient Hospital Services
Covered No No
Inpatient Physician and Surgical Services
Yes Inpatient Hospital Services
Covered No No
Bariatric Surgery Yes Bariatric Surgery Covered No No Cosmetic Surgery Not Covered Skilled Nursing Facility
Yes Skilled Nursing Facility Services
Covered Yes 200 Days per year No
Prenatal and Postnatal Care
Yes Obstetrical Services Pre and Post Natal
Covered No No
Delivery and All Inpatient Services for Maternity Care
Yes Maternity and Newborn Care
Covered No Min stay requirements (48/96 hours), prenatal, postnatal care, parent education, breast/bottle feeding assistance, clinical assessments, home visit, etc.
No
Mental/Behavioral Health Outpatient Services
Yes Outpatient Mental Health Services and Partial Hospitalization (includes Biologically Based services)
Covered Yes 30 Visits per year Benefit limits include Office Visit and Outpatient Visits combined. Biologically based service visits will count toward this limit.
No
Mental/Behavioral Health Inpatient Services
Yes Inpatient Mental Health Services (includes Biologically based services)
Covered Yes 30 Days per year Members may choose to exchange 1 inpatient day for 2 visits of partial hospitalization. Visits for biologically based services will count towards this limit.
No
Substance Abuse Disorder Outpatient Services
Yes Outpatient Alcohol & Substance Abuse Rehabilitation
Covered Yes 60 Visits per year Benefit limits include Office Visit and Outpatient Visits combined. Up to 20 of the visits may be used by the member’s family.
No
Substance Abuse Disorder Inpatient Services
Yes Inpatient Alcohol & Substance Abuse Rehabilitation
Covered Yes 30 Days per year Some limitations apply to Inpatient Alcohol & Substance Abuse Detoxification, see EHB Benchmark plan documents for additional details.
Yes
Generic Drugs Yes Generic Covered No Mail Order up to a 90 day supply. No Preferred Brand Drugs
Yes Preferred Brand Covered No Mail Order up to a 90 day supply. No
New York—4
Benefit Information General Information A
Benefit B
EHB C
Benefit Description (may be the same as
the Benefit name)
D Is the
Benefit Covered?
E Quantitative
Limit on Service?
F Limit
Quantity
G Limit Unit
and/or Description
H Minimum
Stay
I Exclusions
J Explanations
K Additional
Limitations or Restrictions?
Non-Preferred Brand Drugs
Yes Non Preferred Brand Covered No Mail Order up to a 90 day supply. No
Specialty Drugs Yes Specialty Drugs Covered No Mail Order up to a 90 day supply. No Outpatient Rehabilitation Services
Yes Short Term Rehabilitative Therapy Services (Physical, speech and Occupational therapy) Outpatient
Covered Yes 60 Visits per condition per lifetime combined
Short Term Rehabilitation Services: Physical, Speech Occupational. Speech & physical therapy are only covered following a hospital stay or surgery.
No
Habilitation Services
Yes Short Term Habilitative Therapy Services (Physical, speech and Occupational therapy) Outpatient
Covered Yes 60 Visits per condition per lifetime combined
New York intends to require habilitative services to be covered at parity with rehabilitative services.
No
Chiropractic Care Yes Chiropractic Services Covered No No Durable Medical Equipment
Yes Durable Medical Equipment & Medical Supplies & Braces
Covered Yes 1500 Dollars per year for non-essential DME & Medical supplies. Braces must be standard equipment only.
Orthotics, arch supports, corrective shoes, false teeth, maintenance and repairs due to member's misuse.
Coverage for standard equipment only. DME defined as Equipment which is 1). Designed and intended for repeated use, 2), primarily and customarily used to serve a medical purpose, 3). Generally not useful to person in the absence of disease or injury and 4) is appropriate for use in the home.
No
Hearing Aids Yes Hearing Aids Covered Yes 1500 Dollars per year. Limited to a single purchase (including repair/replacement) every three years.
Bone Anchored Hearing Aids unless certain criteria exists.
Yes
Diagnostic Test (X-Ray and Lab Work)
Yes Laboratory Procedures & X-ray Examinations (including pre-admission testing)
Covered No No
Imaging (CT/PET Scans, MRIs)
Yes Laboratory Procedures & X-ray Examinations
Covered No No
Preventive Care/ Screening/ Immunization
Yes Preventive services, screenings, immunizations, etc.
Covered No Mammography (limits based on age), cervical cytology, gynecological exams, bone density, prostate cancer screening, etc. per NYS mandates.
No
Routine Foot Care Not Covered Acupuncture Not Covered Weight Loss Programs
Not Covered
Routine Eye Exam for Children
Yes Pediatric Vision exams
Covered No (These are benefits supplemented with NY CHIP.) No
New York—5
Benefit Information General Information A
Benefit B
EHB C
Benefit Description (may be the same as
the Benefit name)
D Is the
Benefit Covered?
E Quantitative
Limit on Service?
F Limit
Quantity
G Limit Unit
and/or Description
H Minimum
Stay
I Exclusions
J Explanations
K Additional
Limitations or Restrictions?
Eye Glasses for Children
Yes Pediatric Vision appliances
Covered Yes 1 Pair of glasses and frames covered once in any 12 month period
Contact lenses covered if medically necessary. (These are benefits supplemented with NY CHIP.)
No
Dental Check-Up for Children
Yes Dental Check-Up for Children
Covered Yes 2 Visits per year (Supplemented by NY CHIP program.) No
Rehabilitative Speech Therapy
Yes Rehabilitative Speech Therapy
Covered Yes 60 Outpatient visits per condition per lifetime combined
Speech therapy is only covered following a Hospital stay or surgery.
No
Rehabilitative Occupational and Rehabilitative Physical Therapy
Yes Rehabilitative Occupational and Rehabilitative Physical Therapy
Covered Yes 60 Outpatient visits per condition per lifetime combined
Physical therapy is only covered following a Hospital stay or surgery.
No
Well Baby Visits and Care
Yes Well Baby Visits and Care
Covered No No
Laboratory Outpatient and Professional Services
Yes Laboratory Outpatient and Professional Services
Covered No No
X-rays and Diagnostic Imaging
Yes X-rays and Diagnostic Imaging
Covered No No
Basic Dental Care - Child
Yes Basic Dental Care - Child
Covered No Limitations, including dollar limits, may apply, see EHB benchmark plan documents.
No
Orthodontia - Child
Yes Orthodontia - Child Covered No Limitations, including dollar limits, may apply, see EHB benchmark plan documents. Includes procedures which help to restore oral structures to health and function and to treat serious medical conditions such as cleft palate and cleft lip; maxillary/mandibular micrognathia (underdeveloped upper or lower jaw); extreme mandibular prognathism; severe asymmetry (craniofacial anomalies); ankylosis of the temporomandibular joint; and other significant skeletal dysplasias. Orthodontia coverage is not covered if the child does not meet the criteria described above.
No
Major Dental Care - Child
Yes Major Dental Care - Child
Covered No Limitations, including dollar limits, may apply, see EHB benchmark plan documents.
No
Basic Dental Care - Adult
Not Covered
Orthodontia - Adult
Not Covered
Major Dental Care – Adult
Not Covered
New York—6
Benefit Information General Information A
Benefit B
EHB C
Benefit Description (may be the same as
the Benefit name)
D Is the
Benefit Covered?
E Quantitative
Limit on Service?
F Limit
Quantity
G Limit Unit
and/or Description
H Minimum
Stay
I Exclusions
J Explanations
K Additional
Limitations or Restrictions?
Abortion for Which Public Funding is Prohibited
Not Covered
Transplant Yes Transplant Covered No Transplants outside of designated network. Experimental & Investigational Transplants.
Covered at designated networks only, transplants for surgeries determined to be non-experimental and non-investigational.
No
Accidental Dental Yes Accidental Dental Covered No No Dialysis Yes Dialysis Covered No Coverage for out of network provider on an in-
network basis if member is traveling outside the service area.
No
Allergy Testing Yes Allergy Testing Covered No Allergy Testing includes allergy testing and treatment. No Chemotherapy Yes Chemotherapy Covered No No Radiation Yes Radiation Covered No No Diabetes Education
Yes Diabetes Education Covered No No
Prosthetic Devices
Yes Prosthetic Devices Covered Yes 1 External prosthetic device per limb per lifetime (limit does not apply to internal devices)
Coverage for external repairs or replacement in adults. Coverage for wigs made from human hair unless member is allergic to synthetic wig materials.
Prosthetic devices includes both external and internal prosthetic devices. 1 external prosthetic device per limb per lifetime (limit does not apply to internal devices). Additional coverage for external device replacement for children for devices that have been outgrown. Coverage includes wigs for members suffering from severe hair loss due to injury or disease or treatment of a disease (e.g., chemotherapy). Covered if improves or restores function of internal body part; includes implanted breast prostheses; includes repair and replacement.
No
Infusion Therapy Yes Infusion Therapy Covered No No Treatment for Temporomandibular Joint Disorders
Yes Treatment for Temporomandibular Joint Disorders
Covered No Covered when medical in nature No
Nutritional Counseling
Yes Nutritional Counseling
Covered No Covered in accordance with USPSTF A & B recommendations
No
Reconstructive Surgery
Yes Reconstructive Surgery
Covered No Limited to correct a congenital birth defect of dependent child or incidental to surgery or follows surgery necessitated by trauma, infection or disease.
No
Diabetes Care Management
Yes Diabetes Care Management
Covered No Diabetes Care Management includes diabetic equipment, supplies, education and self-management.
No
Inherited Metabolic Disorder - PKU
Yes Inherited Metabolic Disorder - PKU
Covered No No
Post-Mastectomy Care
Yes Post-Mastectomy Care
Covered No Length of stay for lymph node dissection, lumpectomy or mastectomy as determined by the patient and physician.
No
New York—7
Benefit Information General Information A
Benefit B
EHB C
Benefit Description (may be the same as
the Benefit name)
D Is the
Benefit Covered?
E Quantitative
Limit on Service?
F Limit
Quantity
G Limit Unit
and/or Description
H Minimum
Stay
I Exclusions
J Explanations
K Additional
Limitations or Restrictions?
Autism Spectrum Disorders
Yes Autism Spectrum Disorders
Covered Yes 680 Hours per year, 45000 dollars per year for ABA, with adjustments
Autism Spectrum Disorders benefits include autism spectrum disorder screening, diagnosis and treatment. Coverage applicable to ABA treatment for autism spectrum disorders. Benefit is not in coverage documents b/c newly enacted mandate (2011).
No
Breast Reconstructive Surgery
Yes Breast Reconstructive Surgery
Covered No Breast reconstructive surgery following mastectomy, lumpectomy, or lymph node dissection.
No
Eating Disorder Treatment
Yes(S) Eating Disorder Treatment
Covered No Eating Disorder Treatment includes comprehensive care facility for eating disorders.
No
Experimental or Investigational Services
Yes Experimental or Investigational Services
Covered No Covered when approved by an external appeal agent. No
Family Planning Services
Yes Family Planning Services
Covered No Family Planning Services includes contraceptive drugs and devices, vasectomies, and tubal ligations.
No
New York—8
OTHER BENEFITS
Benefit Information General Information A
Benefit B
EHB C
Benefit Description (may be the same as
the Benefit name)
D Is the
Benefit Covered?
E Quantitative
Limit on Service?
F Limit
Quantity
G Limit Unit
and/or Description
H Minimum
Stay
I Exclusions
J Explanations
K Additional
Limitations or Restrictions?
Hearing Aids Yes Bone Anchored Hearing Aids
Covered Yes 1 Hearing aid per lifetime
Bone anchored hearing aids are excluded except when either of the following applies: For Covered Persons with craniofacial anomalies whose abnormal or absent ear canals preclude the use of a wearable hearing aid. For Covered Persons with hearing loss of sufficient severity that it would not be adequately remedied by a wearable hearing aid. Repairs and/or replacement for a bone anchored hearing aid for Covered Persons who meet the above coverage criteria, other than for malfunctions.
No
Elective Termination of Pregnancy
Yes Elective Termination of Pregnancy
Covered Yes 1 Treatment per year
Therapeutic termination of pregnancy unlimited. No
Bereavement Counseling
Yes Bereavement Counseling
Covered Yes 5 Sessions for members family either before or after death of the member
No
Oral Surgery Yes Oral Surgery Covered No Cysts related to teeth, oral surgery result of injury for teeth that are not sound/natural tooth.
Oral Surgery due to injury is limited to sound and natural teeth only, oral surgery due to congenital anomaly, removal of tumors and cysts requiring pathological examination of jaws/cheeks/lips.
No
Enteral formulas Yes Enteral formulas Covered No No Allergy testing and treatment
Yes Allergy testing and treatment
Covered No No
Prostate cancer screening
Yes Prostate cancer screening
Covered Yes 1 Annual for men age 50 and over; age 40 and over if family history or risk factors; any age if prior history
Includes exam and antigen test, per mandate. No
Exercise Facility Reimbursement
Yes Exercise Facility Reimbursement
Covered Yes 200 Dollars every 6 months for member; 100 dollars every 6 months for spouse
Partial reimbursement for facility fees every 6 months if at least 50 visits.
No
Inpatient Rehabilitation Services
Yes Inpatient Rehabilitation Services
Covered Yes 1 Consecutive 60 day period per condition per lifetime in a rehabilitation facility
Inpatient Short Term Rehabilitative Services (Physical, speech and occupational therapy).
No
Second Opinion (surgical)
Yes Second Opinion (surgical)
Covered No Second surgical opinion on the need for surgery. No
New York—9
Benefit Information General Information A
Benefit B
EHB C
Benefit Description (may be the same as
the Benefit name)
D Is the
Benefit Covered?
E Quantitative
Limit on Service?
F Limit
Quantity
G Limit Unit
and/or Description
H Minimum
Stay
I Exclusions
J Explanations
K Additional
Limitations or Restrictions?
End of Life Care Yes End of Life Care Covered No If member is diagnosed with cancer and has less than 60 days to live; covers care in specified facilities for terminally ill patients.
No
Second Opinion (Specialist - cancer)
Yes Second Opinion (Specialist - cancer)
Covered No Second opinion by appropriate specialist, including one affiliated with a specialty care center for cancer.
No
Off Label Cancer Drugs
Yes Off Label Cancer Drugs
Covered No No
New York—10
PRESCRIPTION DRUG EHB-BENCHMARK PLAN BENEFITS BY CATEGORY AND CLASS
CATEGORY CLASS SUBMISSION COUNT ANALGESICS NONSTEROIDAL ANTI-INFLAMMATORY DRUGS 20 ANALGESICS OPIOID ANALGESICS, LONG-ACTING 10 ANALGESICS OPIOID ANALGESICS, SHORT-ACTING 9 ANESTHETICS LOCAL ANESTHETICS 3 ANTI-ADDICTION/SUBSTANCE ABUSE TREATMENT AGENTS ALCOHOL DETERRENTS/ANTI-CRAVING 3 ANTI-ADDICTION/SUBSTANCE ABUSE TREATMENT AGENTS OPIOID ANTAGONISTS 2 ANTI-ADDICTION/SUBSTANCE ABUSE TREATMENT AGENTS SMOKING CESSATION AGENTS 0 ANTI-INFLAMMATORY AGENTS GLUCOCORTICOIDS 1 ANTI-INFLAMMATORY AGENTS NONSTEROIDAL ANTI-INFLAMMATORY DRUGS 20 ANTIBACTERIALS AMINOGLYCOSIDES 5 ANTIBACTERIALS ANTIBACTERIALS, OTHER 15 ANTIBACTERIALS BETA-LACTAM, CEPHALOSPORINS 11 ANTIBACTERIALS BETA-LACTAM, OTHER 1 ANTIBACTERIALS BETA-LACTAM, PENICILLINS 5 ANTIBACTERIALS MACROLIDES 5 ANTIBACTERIALS QUINOLONES 8 ANTIBACTERIALS SULFONAMIDES 4 ANTIBACTERIALS TETRACYCLINES 4 ANTICONVULSANTS ANTICONVULSANTS, OTHER 1 ANTICONVULSANTS CALCIUM CHANNEL MODIFYING AGENTS 3 ANTICONVULSANTS GAMMA-AMINOBUTYRIC ACID (GABA) AUGMENTING AGENTS 5 ANTICONVULSANTS GLUTAMATE REDUCING AGENTS 3 ANTICONVULSANTS SODIUM CHANNEL AGENTS 5 ANTIDEMENTIA AGENTS ANTIDEMENTIA AGENTS, OTHER 1 ANTIDEMENTIA AGENTS CHOLINESTERASE INHIBITORS 3 ANTIDEMENTIA AGENTS N-METHYL-D-ASPARTATE (NMDA) RECEPTOR ANTAGONIST 1 ANTIDEPRESSANTS ANTIDEPRESSANTS, OTHER 8 ANTIDEPRESSANTS MONOAMINE OXIDASE INHIBITORS 4 ANTIDEPRESSANTS SEROTONIN/NOREPINEPHRINE REUPTAKE INHIBITORS 9 ANTIDEPRESSANTS TRICYCLICS 9 ANTIEMETICS ANTIEMETICS, OTHER 10 ANTIEMETICS EMETOGENIC THERAPY ADJUNCTS 5 ANTIFUNGALS NO USP CLASS 20 ANTIGOUT AGENTS NO USP CLASS 5 ANTIMIGRAINE AGENTS ERGOT ALKALOIDS 1 ANTIMIGRAINE AGENTS PROPHYLACTIC 3
New York—11
CATEGORY CLASS SUBMISSION COUNT ANTIMIGRAINE AGENTS SEROTONIN (5-HT) 1B/1D RECEPTOR AGONISTS 7 ANTIMYASTHENIC AGENTS PARASYMPATHOMIMETICS 1 ANTIMYCOBACTERIALS ANTIMYCOBACTERIALS, OTHER 2 ANTIMYCOBACTERIALS ANTITUBERCULARS 6 ANTINEOPLASTICS ALKYLATING AGENTS 5 ANTINEOPLASTICS ANTIANGIOGENIC AGENTS 2 ANTINEOPLASTICS ANTIESTROGENS/MODIFIERS 2 ANTINEOPLASTICS ANTIMETABOLITES 2 ANTINEOPLASTICS ANTINEOPLASTICS, OTHER 2 ANTINEOPLASTICS AROMATASE INHIBITORS, 3RD GENERATION 3 ANTINEOPLASTICS ENZYME INHIBITORS 1 ANTINEOPLASTICS MOLECULAR TARGET INHIBITORS 11 ANTINEOPLASTICS MONOCLONAL ANTIBODIES 0 ANTINEOPLASTICS RETINOIDS 3 ANTIPARASITICS ANTHELMINTICS 4 ANTIPARASITICS ANTIPROTOZOALS 11 ANTIPARASITICS PEDICULICIDES/SCABICIDES 5 ANTIPARKINSON AGENTS ANTICHOLINERGICS 3 ANTIPARKINSON AGENTS ANTIPARKINSON AGENTS, OTHER 3 ANTIPARKINSON AGENTS DOPAMINE AGONISTS 3 ANTIPARKINSON AGENTS DOPAMINE PRECURSORS/L-AMINO ACID DECARBOXYLASE INHIBITORS 2 ANTIPARKINSON AGENTS MONOAMINE OXIDASE B (MAO-B) INHIBITORS 2 ANTIPSYCHOTICS 1ST GENERATION/TYPICAL 10 ANTIPSYCHOTICS 2ND GENERATION/ATYPICAL 9 ANTIPSYCHOTICS TREATMENT-RESISTANT 1 ANTISPASTICITY AGENTS NO USP CLASS 3 ANTIVIRALS ANTI-CYTOMEGALOVIRUS (CMV) AGENTS 2 ANTIVIRALS ANTI-HIV AGENTS, NON-NUCLEOSIDE REVERSE TRANSCRIPTASE
INHIBITORS 5
ANTIVIRALS ANTI-HIV AGENTS, NUCLEOSIDE AND NUCLEOTIDE REVERSE TRANSCRIPTASE INHIBITORS
11
ANTIVIRALS ANTI-HIV AGENTS, OTHER 3 ANTIVIRALS ANTI-HIV AGENTS, PROTEASE INHIBITORS 9 ANTIVIRALS ANTI-INFLUENZA AGENTS 4 ANTIVIRALS ANTIHEPATITIS AGENTS 11 ANTIVIRALS ANTIHERPETIC AGENTS 5 ANXIOLYTICS ANXIOLYTICS, OTHER 4
New York—12
CATEGORY CLASS SUBMISSION COUNT ANXIOLYTICS SSRIS/SNRIS (SELECTIVE SEROTONIN REUPTAKE INHIBITORS/SEROTONIN
AND NOREPINEPHRINE REUPTAKE INHIBITORS) 5
BIPOLAR AGENTS BIPOLAR AGENTS, OTHER 6 BIPOLAR AGENTS MOOD STABILIZERS 5 BLOOD GLUCOSE REGULATORS ANTIDIABETIC AGENTS 19 BLOOD GLUCOSE REGULATORS GLYCEMIC AGENTS 2 BLOOD GLUCOSE REGULATORS INSULINS 10 BLOOD PRODUCTS/MODIFIERS/VOLUME EXPANDERS ANTICOAGULANTS 7 BLOOD PRODUCTS/MODIFIERS/VOLUME EXPANDERS BLOOD FORMATION MODIFIERS 8 BLOOD PRODUCTS/MODIFIERS/VOLUME EXPANDERS COAGULANTS 0 BLOOD PRODUCTS/MODIFIERS/VOLUME EXPANDERS PLATELET MODIFYING AGENTS 7 CARDIOVASCULAR AGENTS ALPHA-ADRENERGIC AGONISTS 4 CARDIOVASCULAR AGENTS ALPHA-ADRENERGIC BLOCKING AGENTS 4 CARDIOVASCULAR AGENTS ANGIOTENSIN II RECEPTOR ANTAGONISTS 8 CARDIOVASCULAR AGENTS ANGIOTENSIN-CONVERTING ENZYME (ACE) INHIBITORS 10 CARDIOVASCULAR AGENTS ANTIARRHYTHMICS 9 CARDIOVASCULAR AGENTS BETA-ADRENERGIC BLOCKING AGENTS 13 CARDIOVASCULAR AGENTS CALCIUM CHANNEL BLOCKING AGENTS 9 CARDIOVASCULAR AGENTS CARDIOVASCULAR AGENTS, OTHER 4 CARDIOVASCULAR AGENTS DIURETICS, CARBONIC ANHYDRASE INHIBITORS 2 CARDIOVASCULAR AGENTS DIURETICS, LOOP 4 CARDIOVASCULAR AGENTS DIURETICS, POTASSIUM-SPARING 4 CARDIOVASCULAR AGENTS DIURETICS, THIAZIDE 5 CARDIOVASCULAR AGENTS DYSLIPIDEMICS, FIBRIC ACID DERIVATIVES 2 CARDIOVASCULAR AGENTS DYSLIPIDEMICS, HMG COA REDUCTASE INHIBITORS 7 CARDIOVASCULAR AGENTS DYSLIPIDEMICS, OTHER 6 CARDIOVASCULAR AGENTS VASODILATORS, DIRECT-ACTING ARTERIAL 3 CARDIOVASCULAR AGENTS VASODILATORS, DIRECT-ACTING ARTERIAL/VENOUS 3 CENTRAL NERVOUS SYSTEM AGENTS ATTENTION DEFICIT HYPERACTIVITY DISORDER AGENTS, AMPHETAMINES 4 CENTRAL NERVOUS SYSTEM AGENTS ATTENTION DEFICIT HYPERACTIVITY DISORDER AGENTS, NON-
AMPHETAMINES 4
CENTRAL NERVOUS SYSTEM AGENTS CENTRAL NERVOUS SYSTEM AGENTS, OTHER 4 CENTRAL NERVOUS SYSTEM AGENTS FIBROMYALGIA AGENTS 3 CENTRAL NERVOUS SYSTEM AGENTS MULTIPLE SCLEROSIS AGENTS 5 DENTAL AND ORAL AGENTS NO USP CLASS 7 DERMATOLOGICAL AGENTS NO USP CLASS 34 ENZYME REPLACEMENT/MODIFIERS NO USP CLASS 6 GASTROINTESTINAL AGENTS ANTISPASMODICS, GASTROINTESTINAL 4
New York—13
CATEGORY CLASS SUBMISSION COUNT GASTROINTESTINAL AGENTS GASTROINTESTINAL AGENTS, OTHER 5 GASTROINTESTINAL AGENTS HISTAMINE2 (H2) RECEPTOR ANTAGONISTS 4 GASTROINTESTINAL AGENTS IRRITABLE BOWEL SYNDROME AGENTS 2 GASTROINTESTINAL AGENTS LAXATIVES 3 GASTROINTESTINAL AGENTS PROTECTANTS 2 GASTROINTESTINAL AGENTS PROTON PUMP INHIBITORS 6 GENITOURINARY AGENTS ANTISPASMODICS, URINARY 7 GENITOURINARY AGENTS BENIGN PROSTATIC HYPERTROPHY AGENTS 9 GENITOURINARY AGENTS GENITOURINARY AGENTS, OTHER 3 GENITOURINARY AGENTS PHOSPHATE BINDERS 3 HORMONAL AGENTS, STIMULANT/REPLACEMENT/MODIFYING (ADRENAL)
GLUCOCORTICOIDS/MINERALOCORTICOIDS 23
HORMONAL AGENTS, STIMULANT/REPLACEMENT/MODIFYING (PITUITARY)
NO USP CLASS 4
HORMONAL AGENTS, STIMULANT/REPLACEMENT/MODIFYING (PROSTAGLANDINS)
NO USP CLASS 1
HORMONAL AGENTS, STIMULANT/REPLACEMENT/MODIFYING (SEX HORMONES/MODIFIERS)
ANABOLIC STEROIDS 2
HORMONAL AGENTS, STIMULANT/REPLACEMENT/MODIFYING (SEX HORMONES/MODIFIERS)
ANDROGENS 4
HORMONAL AGENTS, STIMULANT/REPLACEMENT/MODIFYING (SEX HORMONES/MODIFIERS)
ESTROGENS 6
HORMONAL AGENTS, STIMULANT/REPLACEMENT/MODIFYING (SEX HORMONES/MODIFIERS)
PROGESTINS 5
HORMONAL AGENTS, STIMULANT/REPLACEMENT/MODIFYING (SEX HORMONES/MODIFIERS)
SELECTIVE ESTROGEN RECEPTOR MODIFYING AGENTS 1
HORMONAL AGENTS, STIMULANT/REPLACEMENT/MODIFYING (THYROID) NO USP CLASS 2 HORMONAL AGENTS, SUPPRESSANT (ADRENAL) NO USP CLASS 1 HORMONAL AGENTS, SUPPRESSANT (PARATHYROID) NO USP CLASS 1 HORMONAL AGENTS, SUPPRESSANT (PITUITARY) NO USP CLASS 7 HORMONAL AGENTS, SUPPRESSANT (SEX HORMONES/MODIFIERS) ANTIANDROGENS 5 HORMONAL AGENTS, SUPPRESSANT (THYROID) ANTITHYROID AGENTS 2 IMMUNOLOGICAL AGENTS IMMUNE SUPPRESSANTS 17 IMMUNOLOGICAL AGENTS IMMUNIZING AGENTS, PASSIVE 0 IMMUNOLOGICAL AGENTS IMMUNOMODULATORS 7 INFLAMMATORY BOWEL DISEASE AGENTS AMINOSALICYLATES 3 INFLAMMATORY BOWEL DISEASE AGENTS GLUCOCORTICOIDS 5 INFLAMMATORY BOWEL DISEASE AGENTS SULFONAMIDES 1 METABOLIC BONE DISEASE AGENTS NO USP CLASS 10
New York—14
CATEGORY CLASS SUBMISSION COUNT OPHTHALMIC AGENTS OPHTHALMIC PROSTAGLANDIN AND PROSTAMIDE ANALOGS 3 OPHTHALMIC AGENTS OPHTHALMIC AGENTS, OTHER 3 OPHTHALMIC AGENTS OPHTHALMIC ANTI-ALLERGY AGENTS 9 OPHTHALMIC AGENTS OPHTHALMIC ANTI-INFLAMMATORIES 11 OPHTHALMIC AGENTS OPHTHALMIC ANTIGLAUCOMA AGENTS 13 OTIC AGENTS NO USP CLASS 6 RESPIRATORY TRACT AGENTS ANTI-INFLAMMATORIES, INHALED CORTICOSTEROIDS 6 RESPIRATORY TRACT AGENTS ANTIHISTAMINES 10 RESPIRATORY TRACT AGENTS ANTILEUKOTRIENES 3 RESPIRATORY TRACT AGENTS BRONCHODILATORS, ANTICHOLINERGIC 2 RESPIRATORY TRACT AGENTS BRONCHODILATORS, PHOSPHODIESTERASE INHIBITORS (XANTHINES) 1 RESPIRATORY TRACT AGENTS BRONCHODILATORS, SYMPATHOMIMETIC 9 RESPIRATORY TRACT AGENTS MAST CELL STABILIZERS 1 RESPIRATORY TRACT AGENTS PULMONARY ANTIHYPERTENSIVES 5 RESPIRATORY TRACT AGENTS RESPIRATORY TRACT AGENTS, OTHER 4 SKELETAL MUSCLE RELAXANTS NO USP CLASS 6 SLEEP DISORDER AGENTS GABA RECEPTOR MODULATORS 3 SLEEP DISORDER AGENTS SLEEP DISORDERS, OTHER 5 THERAPEUTIC NUTRIENTS/MINERALS/ELECTROLYTES ELECTROLYTE/MINERAL MODIFIERS 7 THERAPEUTIC NUTRIENTS/MINERALS/ELECTROLYTES ELECTROLYTE/MINERAL REPLACEMENT 5
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